Question 1 of 6
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When caring for a patient with epididymitis, the nurse anticipates that the health care provider will prescribe which intervention?
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- Applying a heating pad to the scrotumIce packs are preferred to treat the inflammation versus heat.
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- Forcing fluids to ensure adequate urine flowUrine flow is not usually affected.
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- Elevating the scrotum on a towel and applying iceEpididymitis is an inflammation of the epididymis and may result from an infection of the prostate or a urinary tract infection. The patient with epididymitis complains of groin pain plus swelling and pain in the scrotum. Antibiotics, ice packs, analgesics, sitz baths, and elevation of the scrotum are the prescribed treatment protocol.
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- Administering a muscle relaxant to decrease spasmsIt is not necessary to administer a muscle relaxant.
Question 2 of 6
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A patient presents to the clinic reporting mucopurulent discharge from the penis, blood in the urine, and dysuria that varies in severity. A urethral swab sample was sent to the laboratory. The nurse anticipates the presence of which finding on the report?
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- Clusters of cocciClusters of cocci are of the Staphylococcus species.
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- Abundant diplococciDiplococci indicate Neisseria gonorrhoeae.
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- Excessive leukocytesThe patient is exhibiting signs of nongonococcal urethritis, which may be caused by many different organisms that are generally not found on the smear. Excessive leukocytes are generally seen on the smear.
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- Crescent-shaped red blood cellsCrescent-shaped red blood cells are seen in blood smears of patients with sickle cell disease and would not be seen on a urethral swab.
Question 3 of 6
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A 35-year-old patient scheduled for a unilateral orchiectomy as treatment for testicular cancer is withdrawn and avoids interacting with the nurse. Which action would be most appropriate in this situation?
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- Asking if the patient is worried about future sexual functionAsking if the patient is worried about future sexual function is not an open-ended question.
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- Assessing the patient regarding concerns related to diagnosis and treatmentThe nurse can assess the patient’s concerns by asking the patient open-ended questions; this will provide the patient an opportunity to verbalize concerns and comfort level.
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- Telling the patient they probably will not overcome their fears unless they discuss those fearsTelling patients they will not overcome their fears unless they verbalize them does not account for the fact that not all patients are helped by this process or may need more time to do so.
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- Setting a patient outcome that the patient will verbalize concerns about the diagnosisSetting a patient outcome that a patient will verbalize their concerns does not account for the fact that not all patients are helped by verbalizing outcomes or may need more time to do so.
Question 4 of 6
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The nurse is caring for a patient with type IIIa inflammatory chronic prostatitis. Which finding is expected?
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- Acute infection of prostateAcute infection of the prostate gland is seen with type I acute bacterial prostatitis, not type IIIa inflammatory chronic prostatitis.
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- White blood cells in semenWhite blood cells in the semen are a common finding with type IIIa inflammatory chronic prostatitis.
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- Recurrent prostate infectionsRecurrent prostate infections are associated with type II chronic bacterial prostatitis.
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- Lack of subjective symptoms reportedType IV bacterial prostatitis is often asymptomatic.
Question 5 of 6
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The nurse is caring for a patient scheduled for brachytherapy for treatment of prostate cancer. Which patient statement indicates an understanding of the procedure?
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- “Hormones are used in this procedure.”Hormones are used in hormone therapy to reduce androgens to treat prostate cancer. Hormones are not used as part of brachytherapy.
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- “My prostate tissue will be frozen to destroy it.”Cryosurgery involves freezing of prostate tissue for treatment of prostate cancer.
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- “My entire prostate gland will be surgically removed.”Prostatectomy involves the removal of the prostate gland.
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- “Radioactive seeds will be implanted in my prostate.”Brachytherapy involves implantation of radioactive seeds to destroy cancerous prostate tissue.
Question 6 of 6
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Which information should be included in the discharge teaching for a patient after a prostatectomy? Select all that apply. One, some, or all may be correct.
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- Limit intake of fluids.Fluid intake should be increased (12 to 14 glasses of water/day) to keep urine flowing.
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- Rinse catheter daily with soap and water.The catheter and meatus should be cleaned daily with soap and water.
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- Report any cloudiness of urine to provider.Cloudiness of urine should be reported to the provider immediately because this could indicate infection.
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- Dribbling of urine is common after surgery.Dribbling of urine is common for up to 6 months after prostatectomy.
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- Lifting up to 10 pounds is fine after surgery.The patient should be advised to avoid lifting more than 8 pounds for 2 to 3 weeks after surgery.
